Individual
MS. ELEXUS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
661 MAIN ST, SLATINGTON, PA 18080-1423
(215) 403-6984
Mailing address
661 MAIN ST, SLATINGTON, PA 18080-1423
(215) 403-6984
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN323560
PA
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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